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2. Event Title
4. Event Location / Address*
6. City
7. State
8. Zip Code
10. Event Date*
    Event Date
11. Event Start Time*
    Event Start Time
12. Event End Time*
    Event End Time
14. Alternate Event Date*
    Alternate Event Date
15. Alternate Event Start Time*
    Alternate Event Start Time
16. Alternate Event End Time*
    Alternate Event End Time
18. Setup Date(s)*
19. Setup Start Time*
    Setup Start Time
20. Setup End Time*
    Setup End Time
22. Tear Down Date(s)*
23. Tear Down Start Time*
    Tear Down Start Time
24. Tear Down End Time*
    Tear Down End Time
26. Approximate Number of Participants Expected*
27. Number of Volunteers / Event Staff*
29. Type of Activity

    1. Festival
    2. Walk / Run
    3. March
    4. Block Party
    5. Demonstration

    1. Concert
    2. Protest
    3. Fair
    4. Exhibit
    5. Parade

    1. Rally
    2. Carnival
    3. Trade Show
    4. Other
31. If Other, please explain
33. Applicant First Name*
34. Applicant Last Name*
36. Name of Organization
38. Address*
40. City
41. State
42. Zip Code
44. Day Phone*
45. Cell Phone*
46. Fax
48. Email*
50. Alternate Contact Name*
51. Alternate Contact Phone*
53. Food

    1. Catered by Restaurant

    1. Catered by Vendor

    1. Prepared on Site

    1. No Food
55. Review Temporary Food Service Establishment Information
    Permission of Temporary Food Service Establishments (PDF)
57. Permission of Temporary Food Service Establishments*

    1. Yes I have read it
59. Vendors / Merchants*

    1. Yes
    2. No
60. Number of Vendors at Event
62. Review Temporary Vending Permit Information
    Temporary Vending Permit Information (PDF)
64. Temporary Vending Permit Information*

    1. Yes I have read it
66. Music Provided?*

    1. Amplified Music

    1. Acoustic Music

    1. No Music
68. Audio / PA System Used?*

    1. Yes
    2. No
69. Type of System
71. Electricity Needed?*

    1. Yes
    2. No
72. Origination of Power Source
74. Fencing or Scaffolding Used?*

    1. Yes
    2. No
75. Portable Toilets Needed?*

    1. Yes
    2. No
76. Garbage Cans / Collection?*

    1. Yes
    2. No
78. Propane / Gas / Liquid Use or Storage*

    1. Yes
    2. No
79. Recycling*

    1. Yes
    2. No
80. Admission Charged?*

    1. Yes
    2. No
82. Temporary Stage Needed?*

    1. Yes
    2. No
83. If yes, please provide dimensions
85. Tents / Pop Up Canopies?*

    1. Yes
    2. No
86. Number of Tents / Pop Ups / Canopies
88. Review Information About Tents and Pop-up Canopies
    Tents & Pop-Up Canopies Information (PDF)
90. Information About Tents and Pop Up Canopies*

    1. Yes I have read it
92. Temporary Structures?*

    1. Yes
    2. No
93. If yes, how many?
95. Review Information About Temporary Structures
    Temporary Structure Information (PDF)
97. Information About Temporary Structure*

    1. Yes I have read it
99. Parade Included?*

    1. Yes
    2. No
100. Number of Floats
102. Animals in Parade?*

     1. Yes
     2. No
103. Approximate Number of Animals
105. List Kinds of Animals
107. Beer Available?*

     1. Yes
     2. No
109. Review Beer Permit Information
     Beer Permit Information (PDF)
111. Information About Beer Permits*

     1. Yes I have read it
113. Drawing or Raffle?*

     1. Yes
     2. No
114. Fireworks / Fire Performance / Open Flame*

     1. Yes
     2. No
116. Open to Public*

     1. Yes
     2. No
117. Private Party?*

     1. Yes
     2. No
119. Motion Picture / Video Shooting*

     1. Yes
     2. No
120. If yes, please explain
122. Please describe your event in detail and be sure to include every and all elements of you event that will help ensure its safety for all.
124. Please detail block numbers of exact streets / roads being used and/or blocked.*
126. Please Print Applicant Name*
127. Date
     Date
129. Submission Information
     This form is for a Maury County Mass Gathering Permit. Submission of this form does not guarantee permit will be issued. Permit applications cannot be processed until the $25 permit fee is paid by the applicant, either in person or mailed. Please make all checks out to Maury County Government. If form is being mailed, please address to: Maury County Government 1 Public Square (Suite 200) Columbia, TN 38401
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131. 1. Receive an email copy of this form.
132. Email address

     This field is not part of the form submission.

133. Submit

* indicates a required field